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TABLE OF CONTENTS
From the CPMA President
P. 2
New faces and CPMA Executives
P. 3
Spotlight on Dr. Joe Wong Sing
P. 6
Recognition to past President
P. 6
CPMA members give back
P. 7
From an Insurer's prespective
P. 8
Fit Feet Event
P. 10
Kudos to CPMA members
P. 11
Growing your portfolio
P. 12
UQTR Podiatric Medicine Program offers you
P. 13
Out with the Old
P. 14
2010 CPEF President's Report
P. 15
Planning for 2013 Word Congress
P. 16
Mark your Calendars
P.18
This newsletter has been made possible through an educational grant from DERMIK the dermatology division of sanofi-aventis Canada Inc.
Makers of PrPenlac®, PrLoprox® and PrTopicort®.
From your CPMA President
• in Manitoba, their issues
include legislative matters
and benefits for their members;
• in Ontario, discussions continue with regard to removing the cap on Doctors of
Podiatric Medicine practicing in the province;
• and in Quebec, the addition
of new graduates from the
podiatric medicine degree
program is an exciting forward action that benefits
podiatric medicine in Canada.
Dr. Joseph Stern, President,
Canadian Podiatric Medical Association
:: It is indeed an honour to
serve as your new CPMA president and I look forward to
succeeding with the responsibilities and opportunities that
this position carries.
This is an exciting time for
the CPMA. A new board provides the opportunity for a
fresh start and new energy
to embark upon a number of
important initiatives. Across
Canada, CPMA members are
dealing with numerous issues:
• in British Columbia and Alberta, both provincial associations are working on
transitioning into their respective Health Professions
Act;
2
The CPMA is excited to be
working with the various provincial associations, lending
support in numerous ways.
As well, we are working on
a number of our own initiatives, which include enhanced
member benefits, such as including extended health benefits and enhanced insurance
benefits such as professional
liability, office interruption,
etc. As well, we are re-examining our bylaws and our
committee structure to ensure
smooth running of the organization. We’re also stepping up
our communications efforts
through our new website and
additional issues of the CPMA
newsletter. We also plan to
put renewed emphasis on our
Seal of Acceptance/Approval
Program.
Another important component is building upon and enhancing relationships with our
affiliated organizations, which
include the American Podiatric Medical Association, the
Society of Chiropodists and
Podiatrists of the United Kingdom and the International
Federation of Podiatrists, to
name a few.
Mostly importantly though,
our new executive is excited
about instilling renewed interest and excitement about the
CPMA and what we can provide for our members.
We’ve come a long way, but
we still have so much more
that we can be doing to grow
our member association into
the best that it can be. Working together – with and for our
members – we can make that
happen. ■
NEWFACES
:: With many thanks to the
past CPMA Executive, it is
now time to welcome in the
new CPMA Executive. With
a blend of both new and familiar faces, the 2010-2012
CPMA Executive was elected
on November 13, 2010.
Joseph Stern was acclaimed
as president, Brad Sonnema
was elected as Treasurer, and
Richard Bochinski was elected
as Secretary.
New faces on the executive include Bruce Ramsden, OPMA
President, who serves as the
representative for Ontario,
and Genevieve Payette, who
serves as the new representative for Quebec. Familiar
faces on the executive include
Mario Turnanovic, now past
president of the CPMA. As
APA president, he serves as
the representative of the Alberta Podiatry Association;
Greg Laakmann, as president
of the British Columbia Association of Podiatrists, represents B.C.; and Alicia Snider
continues as the representa-
tive of the Manitoba Podiatry
Association, in her role as the
MPA President.
With its new board in place,
the CPMA is ready to take on
the new year with new energy
and a fresh perspective as
they work to increase awareness about podiatry in Canada
and the importance of the profession in general. ■
(left to right) Dr. Greg Laakmann, Dr. Bruce Ramsden, Dr. Joseph Stern, Dr. Genevieve Payette, Dr. Alicia Snider, Jayne Jeneroux, Dr. Mario Turanovic and
Dr. Brad Sonnema. Dr. Richard Bochinski is missing from the photo.
Your CPMA Executive at a glance
Dr. Joseph Stern, CPMA President
Dr. Stern grew up in Vancouver, British Columbia, where he attended the University of British Columbia and received his Bachelor
of Science degree. He then obtained his Doctor of Podiatric Medicine Degree from the Pennsylvania College of Podiatric Medicine
in Philadelphia and did his surgical residency in Los Gatos, California. Working out of Vancouver, Dr. Stern has been involved in the
podiatry community for over 20 years. This includes serving as the past president of the Canadian Podiatric Education Foundation,
councillor and vice president of the British Columbia Association of Podiatrists (BCAP) and co-organizer of BCAP and Region 7
seminars and the annual diabetes seminar.
3
Dr. Brad Sonnema, CPMA Treasurer
Dr. Brad Sonnema was born and raised in Edmonton. After obtaining his undergraduate degree at The King's University College, he pursued his interest in Podiatric Medicine at Des Moines
University where he received his Doctor of Podiatric Medicine
degree as well as a Master of Science in Health Care Administration. He then returned to Edmonton where he has enjoyed
private practice for the past 12 years. Currently, he is completing his Master of Business Administration with a specialization
in International Business at the University of Alberta. Dr. Sonnema is also the Vice President and acting treasurer of the Alberta Podiatry Association.
Dr. Richard Bochinski, CPMA Secretary
Dr. Bochinski received his Bachelor of Science degree at the
University of Alberta and then pursued his podiatric medicine
degree from the California College of Podiatric Medicine in San
Francisco, California. After completing his residency in Los Angeles, California, Dr. Bochinski returned to Edmonton, Alberta.
He has worked in private practice with the Associated Foot
Clinic in Edmonton, Alberta since 1995. He is an Associate of
the American College of Foot and Ankle Surgeons, a Diplomate
of the National Board of Podiatry Examiners in Princeton, New
Jersey, and serves as Registrar of the Alberta Podiatry Association.
1983, Dr. Turanovic has been very involved with both the Alberta
and Canadian podiatry associations. He is currently the President
of the Alberta Podiatry Association, a position he has held since
2001, and served as President of the Canadian Podiatric Medical
Association from May 2004 until November 2010. He now serves
as the CPMA Past President.
Dr. Alicia Snider, MPA Representative
Dr. Snider graduated with a degree in podiatric medicine from
Southampton University in the United Kingdom, and worked in the
UK for three years before moving to Winnipeg, Manitoba in 1995.
Currently she works part-time in her own private practice in Winnipeg, Manitoba. Dr. Snider has held an executive position on both
the Association and the College of Podiatrists, and since January of
2010 she has been the representative of Manitoba for the CPMA.
Bruce Ramsden, OPMA Representative
Dr. Ramsden is an active member of the Ontario Podiatric Medical
Association and of the podiatry community in general. Currently,
he is the President of the OPMA. Other positions he has held include serving as the acting Treasurer of the OPMA for 10 years,
Vice President of the OPMA for two years and Vice President of
the CPMA. He has also served as the Vice President of the College
of Chiropodists of Ontario for three years, and President of the College of Chiropodists for two years.
Dr. Greg Laakmann, BCAP Representative
Genevieve Payette, Quebec Representative
Dr. Laakmann has his own private practice in Vancouver, British
Columbia, and is the current President of the British Columbia
Association of Podiatrists. He graduated from the University of
British Columbia with a Bachelor of Science degree, and then
went on to receive his Doctor of Podiatric Medicine degree from
the California College of Podiatric Medicine in San Francisco,
California. He is also a Diplomate of the American Board of Podiatric Surgery, an Associate of the American Academy of Podiatric Sports Medicine, and a Fellow of the American College of
Foot and Ankle Surgeons.
Dr. Payette was raised in Brossard, Quebec and now runs her own
general practice podiatry clinic in Granby, a city one hour east of
Montreal. She graduated from the University of Quebec in TroisRivières and received a degree in podiatry. In fact, podiatry is her
third university degree. She also holds a degree in medical biology,
and a degree in nursing. As the Quebec representative, Genevieve
hopes to further expand knowledge about and involvement with
the CPMA with her colleagues in Quebec. ■
Dr. Mario Turanovic, APA Representative
Dr. Turanovic received his Bachelor of Science degree from the
University of Alberta, then moved the United States to further
his education. After completing a Bachelor of Basic Medical Sciences, earned his Doctor of Podiatric Medicine at the California
College of Podiatric Medicine in San Francisco, California. As
well as working in private practice in Edmonton, Alberta since
4
National Plan Providers
Podiatrist’s
Malpractice Insurance
We also insure
office packages and
home insurance!
Liability
Risks Rising
By Frederic Lajeunesse
Vice President,
Underwriters Insurance Brokers
Imagine working your whole life,
building your practice, family and
personal wealth and in an instant it is
all snatched away from you. Not taken
by a burglar or a bad investment, but
by a lack of insurance.
You’ve heard the stories: “Woman
spills coffee in lap – sues McDonalds
for $100 million.”
In the last decade there has been
an Americanization of the Canadian
reaction to injury. Today when
something goes sideways, we ask
who’s to blame, who can I sue, who
will pay me money?
When I began my career, it was
normal for a small business to carry
$500,000 of liability insurance. Today
the low-end standard is $2,000,000
and many businesses carry
$5,000,000 and up. The risks today
are much higher. The fact is that none
of us can recover from the financial
loss of a big claim without insurance.
Underwriters Insurance Brokers
3159 Arbutus Street
Vancouver, B.C. V6J 3Z3
Phone: 604-734-2124
Toll Free: 1-800-201-9992
Medical professionals are one of
the groups that understand their
malpractice issues, but often don’t
get too concerned about their
business liability or proper coverage
for contents, leasehold improvements,
loss of revenues or profits. A good
office package is essential. A nasty
claim for something as simple as a
“slip and fall” can be worth 6 figures.
Could you ever recover? Could you
ever make that money back?
Not likely.
Cover the big risks first, and
malpractice, and general liability risks
are almost always the biggest.
5
Putting the spotlight on Dr. Joe Wong Sing
During the 2010 CPMA AGM, Dr. Joe Wong Sing was presented with a lifetime achievement award from the CPMA in recognition of the considerable time, effort and expense he has contributed to the podiatric profession. Provided below is a brief
overview about Dr. Wong Sing.
:: After graduating from the
University of Toronto, Dr.
Joe Wong-Sing enrolled at
the Ohio College of Podiatric
Medicine when it was located
on Cornell Street in Cleveland, Ohio but graduated in
the then new school on Carnegie Avenue in Cleveland. He
completed his residency program at Vancouver General
Hospital and stayed on the
west coast.
College of Podiatric Medicine
and the California College of
Podiatric Medicine. Administratively, he was involved in
numerous initiatives, including
fee negotiations with the B.C.
Medical Services Plan, the implementation of Rural Travel
Reimbursement, revisions to
the BCAP Bylaws and administering the Canadian National
Boards in Podiatry, to name a
few.
Throughout his career, Dr.
Wong Sing has been involved
in many aspects of the podiatry profession. Academically,
he was involved with the podiatry residency program at
Vancouver General Hospital,
and served as adjunct clinical
instructor for the New York
However, his pet project is the
Canadian Podiatry Education
Foundation. There is an urgent need of financing for students studying in the United
States. Annual tuition for
podiatry school increased
from $3000+ (1970s) to
Outgoing CPMA President
Dr. Mario Turanovic presented
a lifetime achievement award
to Dr. Joe Wong Sing at the
2010 CPMA annual general
meeting.
$30 000+ (2010). The CPEF
was established to fill part of
the void between Canada Student Loans (annually less than
$2000 per student), provincial grants and the real cost of
podiatry education. As a charitable organization, the CPEF
can issue tax receipts.
Dr. Wong-Sing encourages
all CPMA members to get
involved, whether that be financially, through time or expertise. As Dr. Wong sees it,
“together, mountains can be
moved.” And although he has
given so much to his profession, he feels that his contribution to the profession is miniscule compared to what he has
gained in return. ■
Past CPMA President recognized for his efforts
On November 13, 2010, during the CPMA Annual General Meeting, Dr. Greg Laakmann (current BCAP representative for the CPMA), presented Dr. Mario Turanovic
with a plaque in honour of the many years he spent as CPMA President. Holding the
position of CPMA President for six years, from May of 2004 to November of 2010,
has resulted in Dr. Turanovic being the longest serving CPMA President. During those
years, Dr. Turanovic was involved in a number of initiatives, from sitting on the original
federal narcotics privileges committee to enhancing relations with the American Podiatric Medical Association. Dr. Turanovic continues his involvement with the CPMA
as the Past President and also the current representative for the Alberta Podiatry Association. ■
BCAP President Dr. Greg Laakmann presents a plaque
to outgoing CPMA President Dr. Mario Turanovic.
6
CPMA members giving back to their communities
Free – Open to the Public
:: Especially during the holiday season, many people
and organizations take time
out of their busy schedules
to volunteer and give back to
their communities.
Many provincial podiatry associations are doing that too, by
hosting numerous events and
functions to spread awareness
about the importance of podiatry and also about diabetic foot
health. By sharing their knowledge and teaching others, these
associations are working to
make the holidays just a little bit
brighter.
Provided below is an overview of
some of the recent activities by
CPMA members.
With November being diabetes month, many podiatry
associations spread the word
about the importance of diabetes awareness and foot
health. For example, Edmonton, Alberta served as the lo-
Think Healthy,
Be Well:
Managing Diabetes Today
SYMPOSIUM
Welcome!
Saturday, November 13, 2010
cation for a diabetes event on
Saturday November 13, 2010
called “Think Healthy, Be Well:
Managing Diabetes Today”.
This event marked the first
major collaboration between
the Alberta Podiatry Association and the Alberta Diabetes
Foundation. Dr. Ravji, a podiatrist practicing in Edmonton, lectured on diabetes and
the importance of proper foot
care; he also staffed the APA
(Alberta Podiatry Association) booth at the symposium,
where he was kept busy answering questions from event
attendees. The guests present
were very eager to hear all the
information that the sessions
would provide them, and after a survey, it was found that
the session on foot care was
the one that people were most
excited about. Although the
audience was relatively small,
"hosting 70 participants",
awareness was spread, and
the event created a sturdy
platform for hosting bigger
and better events in the future.
In British Columbia, the annual
“Living Well with Diabetes”
event is now in its 9th year
and continues to grow each
year. Coordinated by the British Columbia Association of
Podiatrists, the University of
British Columbia and the B.C.
Diabetes Association, this
year’s event was held in Vancouver on Sunday November
14, 2010, to raise awareness
about diabetes and to provide
people with a plethora of im-
Live Well with Diabetes
Celebrate World Diabetes Day by learning more and getting checked*
Date:
Sunday, November 14, 2010
Location:
Marriott Pinnacle Hotel
1128 West Hastings
Vancouver, BC
Public Health Forum
2:00 p.m. to 6:00 p.m.
Registration is not required for the free
Public Health Forum
Diabetes Awareness Dinner *
6:00 p.m. to 8:30 p.m.
Registration required
* All screening provided by healthcare professionals including podiatrists
and Vancouver Coastal Health.
Public Health Forum – 2:00 p.m. to 6:00 p.m.
If you are living with diabetes or at risk for diabetes, ask the healthcare professionals and experts
your questions and take advantage of one-on-one-health screening.
Dr. Ehud Ur,
Endocrinologist
Know Your Diabetes Numbers
Dr. Davidicus Wong, Family Physician
Improving the Patient-Physician Relationship –
Getting the Care You Need
Ina Stockhausen,
Registered Professional Counsellor
Learning About Emotional Eating
* Diabetes Awareness Dinner – 6:00 p.m. to 8:30 p.m.
Enjoy an evening of seasonal cheer including a delicious & healthy dinner, door prizes and giveaways.
Seating is limited for this free event. Guests must pre-register for the dinner by calling the
Canadian Diabetes Association at (604) 732-1331 ext. 229.
Community Partners:
diabetes.ca 1-800-BANTING (226-8464)
portant information about the
disease. Many booths, hosted
by different pharmacies, shoe
companies, etc., were eagerly
set up with the mutual intent
of sharing information with
the public. Six hundred people attended the public forum
that included the many booths
and lectures. The event also
includes a free dinner for 250
people with diabetes. Canadian Diabetes Association
posters advertising the event
and the dinner were put up
in various diabetic clinics and
podiatry offices, and people
were able to sign up for the
meal. The event was a success
and was co-ordinated by Drs.
Kalla and Stern, Phil Moore,
who was also the MC, Sandy
MacNeil from University of
British Columbia (UBC) continuing education, and Donna,
Franca, and Martha Paris.
In Quebec, on a smaller, but
equally important scale, podiatrist Dr. Christina Morin,
who practices in Boucherville,
a suburb of Montreal on the
South shore of the Saint Law-
rence River, hosted and served
her second annual Christmas
dinner for economically disadvantaged people in her community. One hundred and
forty-three people sat down
and received a very good dinner for only two dollars a plate.
During the event the previous
year, Dr. Morin and her clinic
provided people with valuable
information about their feet.
At this year’s event, they took
it a step further by handing
out gift certificates so that everyone present could receive
treatment at the clinic. While
even something as small as a
special Christmas dinner can
make a difference, Dr. Morin
and her clinic hope to host a
bigger event next year.
As a CPMA member it is important to share knowledge and information that can, and will be
beneficial to others. By hosting,
advertising, and volunteering at
different functions and events,
awareness will be spread, and
valuable information for all can
be gained. ■
7
From an insurer’s perspective
At the 2010 CPMA Annual General Meeting, held on November 13 in Vancouver, B.C., Kevin McIntyre, President of Underwriters
Insurance Brokers, the CPMA’s preferred insurance provider, spoke with members about the issues facing CPMA members.
Provided below is an excerpt from his presentation.
:: “We appreciated being invited to your conference and
to being asked to address the
members. The Malpractice
program that we handle for
the associations is an important account to our firm.
professional liability coverages. The rates for podiatrists
who may be performing surgery on people are remarkably
low considering the differences in our work issues from
industry to industry.
Frederic Lajeunesse who handles your account is a Vice
President and a shareholder in
our company. He works very
hard on your behalf throughout the year, dealing with individual issues, meeting regularly with the insurer and dealing with the associations on
claims and other issues.
Claims:
Due to privacy and legal issues, we can’t discuss the intricacies of ongoing or past
claims, however, we can speak
in general terms. In the last
10 years both programs have
produced about $600,000 in
paid losses. There have been
many more reported losses
that have been successfully
defended, and others are still
underway.
Coverage Issues:
The coverages under the plan
remain unchanged from last
year and so there is really
nothing to report on coverage
issues.
Rates:
Rates from 2008 dropped
in 2009 by 5%, and then increased by 5% in 2010. Rates
in the program have been
remarkably stable over the
years, and hopefully will continue to be so. Rate fluctuations of up to 10% should not
be considered surprising as
losses and claims go up and
down as well.
As a comparison, as an insurance brokerage, our firm pays
over $70,000 a year on our
8
For example, since 1992, the
BC Association has had 66
reported losses, 7 this year.
In the last 10 years the CPMA has had 28 losses reported.
Losses are generally small in
nature, although there have
been losses in the six-figure
range.
Risk Management:
In managing your risks moving forward, you need to continue doing what you are likely
already doing. This includes
taking great treatment notes,
and making them as detailed
as possible. I also encourage
you to make notes of conversations; on more complicated
issues or more difficult patients, take even better, more
detailed, notes.
Deal with problems or problem patients early, address
concerns and express sympathy for the problems or issues
people are having. A good
bedside manner can eliminate
or reduce losses. You can express sympathy without acknowledging any blame, and
through positive relationships
with your patients you truly
can avoid lawsuits.
Don’t be afraid to report a loss
early on if you think something may be going off the
rails. Through early reporting, your insurance team can
gather the facts, get a file in
place and start to put a defence in place. Advice can be
provided to you on how to
handle things through the process and hopefully a loss can
be avoided. Early intervention
usually keeps claims smaller
and the clients happier. Remember, you are not alone.
We are here to help.
Future Considerations:
While losses to date have
been relatively frequent, but
also relatively small, a big one
will occur. Someone will make
a mistake and a massive claim
will be made against a podiatrist one of these days. On the
world stage, your profession
is much more targeted for
malpractice claims than what
takes place here in Canada.
Since the cost of the insurance
in Canada is relatively inexpensive, buying higher limits
of coverage is a simple step to
protecting your assets.”
NOTE: if you want more information about coverage alternatives and various pricing options,
contact Frederic Lajeunesse at
604-742-4555 or email him at
[email protected] ■
Private Health Services Plan
:: The Private Health Services Plan is fully comprehensive to pay medical, hospital and dental claims up to
100%. This includes supplemental Health Benefits costs
not covered provincial government plans. It includes
eye exams, paramedical services, dental and Medical
claims. Orthodontic Fees for
both children and adults can
be fully covered.
This allows all CPMA members
to pay for health and dental
coverage for themselves and
their families with pre-tax
corporate dollars instead of
paying out of pocket with aftertax dollars.
The cost
Deeply discounted for the
CPMA.
by Canada Revenue Agency
(CRA) to be in your account.
This remains your money
waiting to be used by you.
WHAT'S COVERED
Prescription Drugs
Medical Expenses
Dental Services
Paramedical Devices
Vision Care
and more...
Examples of Covered Expenses
The adjudication fee is 8%.
5%
for
special
needs
situations.
Items to note
•Sign up on line and pay with
Visa effective Jan 2011.
•All dental and prescription
claims can be done through
pay direct card.
•Paramed practitioners are
reimbursement claims.
Joel Finkelstein of Finkelstein
Financial Services has put
this program together for the
CPMA.
1. Professional Services
Chiropractor
Nutritionist
Plastic Surgeon
Dentist
Denturist
Obstetrician
Podiatrist
Dermatologist
Optician
Psychoanalyst
Gynecologist
Optometrist
Psychologist
Homeopath
Pediatrician
Registered Nurse
Massage Therapist
Speech Therapist
Physician
Physiotherapist
Naturopath
2. Other Services
Acupuncture
Medical Devices (Variety)
Blood Tests
Eye Exams
Eye Glasses
Contact Lenses
Bone Density
Orthotics/Devices
Hearing Aids
Urine Analysis
X-ray Exams
Hospital Services
Practical Nurses
Laser Eye Surgery
3. Medical Expenses incurred outside of Canada
Pacific First Dental and
Healthcare Plan will administer
the PHSP ■
$100.00 (one time) for
start-up plus $100 is required
If you and/or your covered dependents require medical or surgical
treatment outside of your own province of residence, this plan
will pay for the covered expenses, to a maximum of $1,000,000.
4. $3000 stop loss
If you and/or your covered dependents require medical or surgical
treatment in your own province of residence, this plan will pay for
covered expenses after you have satisfied the deductible.
SERVICE OPTIONS
Option 1
The Healthcare Processional submits the bill directly to Pacific First for payment
Option 2
Patient pays the Healthcare Provider for services or devices and is reimbursed by
Pacific First.
Advantages
•
•
•
•
Fully customizable
Funds in the Plan are the Client's funds, and the claims are based on the Client's own experience.
Can be fully tax deductible. (Company size, type of business, participation,
and CCRA guidelines will determine limitation.)
Monthly invoicing to build up funds for unanticipated claims is required for
prompt payment of claims.
9
Celebrating another successful Fit Feet event
:: Congratulations to the
eight CPMA members who
took part in the very successful Fit Feet event held in July
2010 in London, Ontario. By
donating their time and expertise, these podiatrists
and podiatry students helped
ensure the success of the Fit
Feet screening program.
Special Olympics Canada
Sport Manager Caterina Rewega expressed it well in her
acknowledgement of the significant impact that podiatrists have by volunteering for
these events:
I know that you all took time
away from work and family to be
part of the 2010 Special Olympics Canada National Summer
Games Fit Feet program and
your participation was appreciated. I have received a great
deal of positive feedback from
the athletes, coaches and mission staff that went through the
screenings. This positive feedback coupled with the 325 athletes screened is a testament to
your amazing volunteer efforts.
As the program title indicates,
10
your volunteer efforts have
helped to ensure that 325 more
athletes have “Fit Feet”. Many
of these athletes do not have the
channels or resources available
to obtain proper foot care. In addition to providing these screenings you have also helped these
athletes to improve their overall
health and well-being, allowing
them to be better prepared for
sport competition. You should
all be very happy with these results!
Also I wanted to say a special
thank you and acknowledge the
dedication and commitment of
Dr. Kel Sherkin to the Fit Feet
program. As you all know he is
our head clinical director and
worked very hard in the months
leading up to the event to ensure
that everything ran smoothly.
This was my first experience
running the Healthy Athletes
program and I have learned
many things from this first event.
Hats off to all of you on a job well
done! I also hope that you will all
continue your involvement as
volunteers for future Fit Feet
events!
NOTE: If you are interested in learning more about the CPMA Fit Feet
program or want to volunteer your
services, please contact Dr. Kel Sherkin at [email protected] ■
Listed below are podiatrists and podiatry students who
volunteered for the 2010 Special Olympics Canada Fit Feet
program. They came from Quebec, Ontario, Manitoba,
British Columbia and Nova Scotia to take part in the events.
A heartfelt thank you to everyone who participated.
Philippe Martin-Bedard
Sebastien Nadeau
Francois Garneau
Dr. Kel Sherkin
Dr. Joe Wong-Sing
Brendon Bennett
Rebecca Bennett
Kind regards,
Caterina Rewega
Sport Manager,
Special Olympics Canada
Dr. Iain Palmer
Dr. Francois Giroux
Dr. Glenn Hebert
Kudos to CPMA members …
:: Congratulations to OPMA member and past Vice President Robert
Goldberg, DPM who was acclaimed as President of the College of Chiropodists of Ontario at the October 1, 2010 College Council Meeting.
The CPMA extends sincere wishes to Dr. Goldberg for great success
with his new responsibilities to serve the public in the province of Ontario.
:: Dr. Catherine Bulanda was recently appointed as the Department of
Surgery representative to the Faculty Council of the University of Calgary Faculty of Medicine (i.e. the U of C Medical School). Of three positions appointed by the medical school, Dr. Bulanda was chosen to represent surgery and podiatry. ■
11
Growing your portfolio in uncertain times
:: When times are tough and
economic uncertainty seems
to be everywhere, investors
need to take steps to continue to grow their investments while preserving their
wealth.
Today, with volatility so prominent in the stock market, it is
imperative to have a portfolio
that can withstand the ups and
downs and be actively managed. In my opinion, the days
of the “buy and hold strategy”
are gone.
A strategy of capital preservation and growth of investment
will be dictated by a portfolio’s
make-up and how it is being
managed. Are the investments
being recommended to you
specifically tailored to your
needs or are they just general
recommendations being made
to everyone in your risk category? How closely are your investments being watched? Is
your advisor keeping up with
the latest trends and being active with your portfolio or are
you being told to buy and hold
and eventually you will make
money?
There are several actions that
investors can take to ensure
their money is protected while
maximizing growth.
12
Look to leaders
Investors need to identify current economic trends, where
the “smart money” is being
invested. In times of distress
many investors look to large
companies, leaders in their industry. These companies tend
to outperform when times
are good and help cushion a
portfolio against losses when
times are tough.
Get paid to wait
Companies that pay dividends
tend to be the companies that
outperform over the long run.
Companies that continue to
increase the amount of dividends that they pay will provide an investor with some
growth while they wait for the
stocks share price to rise.
Shop for bargains
Smart investors look for investments that are “cheap” by
historical standards and trading at low multiples (levels).
Many investors look to the P/E
ratio (price of the stock versus
it’s to earnings) as a measuring stick to find good valued
growth investments.
Reduce cost of investing
Depending on the size of a
portfolio, an investor may have
the option of having their own
specifically tailored mutual
fund created for them out of
individual securities in a fee-
based scenario. Fee-based
accounts can cost less than
managed products, such as
mutual funds, and their annual
fees may be tax deductible.
This is another option that
can keep more money in your
hands and cushion a portfolio
in difficult times.
Investing in quality companies
that pay consistent dividends
and are inexpensive is the best
way to protect your money today and grow it over time.
Allan Small is an investment
advisor at Dundee Securities
Corporation with more than
15 years’ experience in the
financial industry. asmall@
dundeesecruties.com
Allan Small is an Investment Advisor
with Dundee Securities Corporation, a
DundeeWealth Inc. Company. This is
not an official publication of Dundee Securities and the author is not a Dundee
Securities analyst. The views expressed
are those of the author alone, and are
not necessarily those of Dundee Securities.
Profiling UQTR's podiatric medicine program
:: With each passing year,
more and more eager students are considering a career in podiatry, but of course,
the real question is, where
should they go to study? The
Podiatric Medicine Program
at the University of Quebec
at Trois Rivieres (UQTR) began in 2004, and since then,
three classes have graduated
age is around 32 and potential
students are now making a
choice between us and medicine.” Dr. Gagne also advises
that 50 per cent of the chosen
25 students come from junior
colleges, and the other 50 per
cent are already studying at a
university level. Needless to
say, the program is becoming
quite competitive.
Quebec Students: First graduates of the Quebec DPM
– 2008-2009-2010 – resulting in 62 new podiatrists.
These new podiatrists make
up nearly half of the podiatrists in Quebec. Add to that
another 90 students currently
enrolled in the program, and it
is apparent that the UQTR and
an interest in the podiatry profession are rapidly growing.
Headed by Dr. Ann Gagne, Director of the Podiatric Medicine Program at UQTR, the
program is comprised of 10 semesters, making it a five-year
program compressed into four
years. The average university
degree in Quebec consists
of 90 credits acquired over
three years. “We take only 25
new students each year,” advised Dr. Gagne. “This year we
received 203 demands. From
that we interviewed 80 students and chose 25 to enter the
2010 program. The GPA aver-
The podiatry program at the
UQTR is split into four years.
The first two years are preclinical, where students focus
on topics such as human anatomy and dissection and then
podiatric anatomy and dissection. In their third year, students enter an internship, with
clinical in the morning, and inclass study in the afternoon.
Their fourth and final year is
an externship, divided equally
between the university clinic,
private practice and time at
the New York College of Podiatric Medicine (NYCPM).
The clinic attached to the program has 15 rooms for patients,
and patients are treated from
Tuesday to Friday each week.
In the mornings, the 3rd year
students treat patients with
the help of a 4th year student;
in the afternoon the 4th year
students treat the patients. All
treatment is supervised by the
clinician. Three clinicians work
in the morning and two work
in the afternoon with the students.
In addition to her responsibilities as Director of the
Podiatric Medicine program,
Dr. Gagne is also a Professorclinician and Director of the
podiatry clinic. Working with
her are the following Professor-clinicians:
• Dr. Francois Allart –
responsible for orthopedics
• Dr. William Lee and Dr.
Zyad Hobeychi – responsible
for surgery
• Dr. Pierre Cardin –
responsible for podiatric
medicine
• Dr. Camille Sabongui –
responsible for radiology
• Dre Marie-Christine Torchon – the program’s newest
teacher, started in September
2010. ■
After Graduation Options
After completion of their
podiatric medicine degree at
the University of Quebec at
Trois Rivieres (UQTR), students have a variety of postgraduate options available to
them, including:
•building a private practice
•working for a podiatrist in a
private practice
•completing a residency
(3+1) fourth year at the
New York College of Podiatric Medicine (NYCPM)
•continuing with additional
educational pursuits, such
as an M.Sc. or Ph.D.
Years of Study
As with most podiatric
medical education programs,
each year of study focuses
primarily on a specific area.
At the University of Quebec
at Trois Rivieres (UQTR), the
primary focus for each year
of the program is indicated
below:
• Year 1 – preclinical
• Year 2 – preclinical
• Year 3 – internship
• Year 4 – externship
Marc-Antoine Dion, Jade Séguin-Richard and Marie-Christine Bergeron
13
Out with the old and in with the new:
CPMA’s new website
:: The CPMA has turned
the page and started a new
chapter, beginning with the
re-vamping of the CPMA
website. Shedding its old
skin, the CPMA is taking
a fresh approach to Canadian podiatry by creating an
updated, easy-to-navigate
website that offers even
more to its members. While
certain sections of the website are currently under construction, when completed,
the website will include an
easily accessible calendar of
dates and upcoming events,
a section asking for your valued opinion on the changes
that have been made, plus a
members only section that
will link you to more information and keep you connected
to podiatrists across Canada,
which of course is the CPMA’s primary goal. Take the
time to visit the new website
at www.podiatrycanada.org
and see what the CPMA has
to offer its members.
Help Create an even
Better Website for the
CPMA
It’s a new beginning for the
CPMA, and the CPMA website, and although many
changes have already been
made to the website to create
an even better product, there
is always room for improvement. The goals of the CPMA
and the CPMA website are to
provide valuable information
and to keep podiatrists linked
across Canada. For these very
reasons, CPMA members are
invited and encouraged to
make suggestions that could
potentially improve the CPMA
website even further. By doing
little things like providing dates
and information about upcoming events, submitting updated
reports on podiatry activities in
different communities, or even
sending in photos or video from
events, the CPMA will be able
to provide its members with an
up-to-date, detailed, and most
importantly, useful, website. ■
To get access to the member
section of the CPMA website,
go to www.podiatrycanada.org
and click on the link and register. With 24-48 hours you will
receive an email advising that
you can log in to the member
section.
NOTE: only CPMA members
will be provided with access
to the member section of the
website.
14
2010 CPEF President’s Report
:: Dr. Joe Wong Sing presented the Canadian Podiatric Education Foundation
(CPEF) presented their President’s Report at the CPMA
Annual General Meeting on
November 13, 2010 in Vancouver, B.C. A non-profit organization, the CPEF’s main
goal is to promote foot health
awareness through education.
The first topic covered was the
current status of the CPEF’s
website which is now up and
running, even though it is still
under construction and will
continue to be updated. The
CPEF is looking for comments
and suggestions concerning
the website, and they are also
actively seeking sponsors for
the site, in the hopes that they
will be able to provide the best
product possible.
Next, the CPEF’s Student Assistance Program (SAP) was
discussed. The SAP has been
part of the CPEF since 1986.
Because tuition costs are so
high -- up to $60,000 a year
including living costs for those
pursuing a Doctor of Podiatric
Medicine degree in the United
States, the CPEF’s goal is to
aid students while they receive their educations. Unfortunately, the CPEF did not provide any student assistance in
2009. To make the program
as efficient as possible, the
CPEF tries to remain diligent
in the collection of loans from
the graduated students. That
way, the money collected can
be distributed out as new student loans. The CPEF also paid
respects to Dr. Sean Liffiton
who passed away on September 10, 2010.
ceived from the profession.
Thanks were extended to the
previous CPEF Board of Directors. The new CPEF Board of
Directors was also elected
during the meeting, as indicated below:
Dr. Wong Sing also briefly
talked about CPEF membership, reminding those in attendance that membership costs
were dropped in 2005. A motion was introduced that the
CPMA contributes a $10 CPEF
membership fee for all of their
members.
Member-at-Large Alberta
–Michael Chen
The report concluded with a
reminder that the CPEF is a
charitable organization, and
that they are very grateful for
all the support they have re-
President—Joseph Wong
( British Columbia)
Vice President—Christina
Morin (Quebec)
Secretary—Jim Hill (Ontario)
Treasurer—Faiyaz Dedhar
(British Columbia)
Member-at-Large Manitoba –
Sandy Todd. ■
CPEF President Dr. Joe Wong Sing
15
Planning for the 2013 World Congress of Podiatry
:: The World Congress of Podiatry has been taking place every three years since the first World Congress was held in
Brussels, Belgium in 1966.
Hosted by the International
Federation of Podiatry/Federation Internationale des Podologues (FIP) and the respective host country podiatry association, The World Congress
allows podiatrists from all over
the world to come together for
a few days to meet, exchange
information on foot-related
topics and expand on their
professional knowledge. This
It looks as though the next
World Congress will be held
in Rome, Italy in the fall 2013.
This will be the second time
that Rome hosts the event; the
first time was in 1988. Rome
is the capitol city, and is also
one of the most popular tourist attractions in Italy. Rich in
history and beauty, Rome is
home to attractions like the
Coliseum and the Vatican Mu-
year’s World Congress, held in
Amsterdam, Netherlands, was
a great success. The halls were
packed with people checking
out the latest products and
services from exhibitors, taking the time to get acquainted
with colleagues from other cities and countries and discussing podiatry issues and concerns with speakers, FIP board
members and others.
seums. Not only will you be
able to gain continuing medical education credits through
attendance at the 2013 World
Congress of Podiatry, but you
can also take advantage of
the spectacular location for
your next European vacation.
So once the dates of the 2013
World Congress of Podiatry
are finalized, pencil them in
and prepare to take a trip to
beautiful and historic Rome,
Italy. ■
16
Did you know … ?
CPMA members are also afforded membership with the
FIP. This entitles you to discounted rates for the World
Congress of Podiatry and access to numerous online educational courses available on
the FIP website. And these are
just two of the many benefits
of being a member of the FIP.
There is no out-of-pocket cost
for you to be an FIP member;
best of all, you have access to
the worldwide portal of podiatry and podiatric medicine.
If you haven’t already signed
up for access to the member
section of the FIP, it only takes
a few moments. Simply go to
www.fipnet.org and click on
“Register”. Very shortly after
that you will receive an email
advising of your password to
the member section of the
website.
17
MARK your CALENDAR
and Plan to Attend …
2011 Dates
2011 Dates
January 15-22
September 16-18
Eastern Carribean Cruise
www.nwpodiatricfoundation.org
OPMA Conference
Toronto, Ontario
www.opma.ca
January 19-23
Florida Podiatric Medical Association
Annual Conference
Orlando, FL
www.fpma.com
January 28-30
New York Podiatric Clinical Conference
New York NY
www.nyspma.org
February 17-19
September 22-24
Annual Las Vegas Scientific Seminer
Las Vegas, Nevada
www.newpodiatricfoundation.org
October 15-22
Annual Hawaii Seminar
Maui, Hawaii
www.nwpodiatricfoundation.org
October 26-30
Lake Tahoe Ski Seminar
www.nwpodiatricfoundation.org
ACFAOM Annual Meeting
Orlando, Florida
www.acfaom.org
March 3-6
November 11-13
Midwest Podiatry Conference
Chicago, Illinois
www.midwestpodconf.org
Region VII Podiatry Conference
Vancouver, B.C.
www.region7apma.org
March 24-26
DFCon 2011
Los Angeles, California
www.dfcon.com
July 28-31
APMA Annual Scientific Conference
Boston, Massachusetts
www.apma.org
2012 Dates
April 19-22
Midwest Podiatry Conference
Chicago, Illinois.
www.midwestpodconf.org
August 16-19
APMA Annual Scientific Conference
Washington, D.C.
www.apma.org
2013 Dates
July 21-25
APMA Annual Scientific Conference
Las Vegas, Nevada.
www.apma.org
October (datesTBA)
FIP World Congress of Podiatry
Rome, Italy.
www.fipnet.org
2014 Dates
July 24-27
APMA Annual Scientific Conference
Honolulu, Hawaii
www.apma.org
2015 Dates
July 28-31
18
APMA Annual Scientific Conference
Orlando, Florida
www.apma.org
Loprox
®
3UHVFULELQJ6XPPDU\
Patient Selection Criteria
THERAPEUTIC CLASSIFICATION
Topical Antifungal Agent
INDICATIONS AND CLINICAL USE
LOPROX® (ciclopirox olamine 1%) Cream or Lotion is indicated 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.
CONTRAINDICATIONS
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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
SPECIAL POPULATIONS
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.
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.
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: Safety and effectiveness in children below the age of 10 years have not
been established.
Safety Information
WARNINGS
LOPROX® is not for ophthalmic use.
PRECAUTIONS
If a reaction suggesting sensitivity or chemical irritation should occur with the use of LOPROX®,
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.
In a controlled clinical trial with 89 patients using LOPROX® Lotion and 89 patients using
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.
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
$GPLQLVWUDWLRQ
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.
19
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≤0.011†
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.
CDN.CIC.09.12.03E
See prescribing summary
and study parameters on page 19
20
Client: SANOFI-AVENTIS
Brand: Multaq
141196/2009/12/18/RB