Therapeutic Shoe Fitter Course

Upon successful completion of this course, you will be able to:

• Describe the professional role of the therapeutic shoe fitter;

• Describe the professional ethical responsibilities of a therapeutic shoe fitter;

• Use basic medical terminology for communication and documentation;

• Identify basic foot anatomy;

• Identify common foot pathologies and deformities;

• Describe the signs, symptoms, and risk factors associated with the diabetic foot;

• Identify the process for providing a physical evaluation of the foot;

• Identify therapeutic shoe eligibility criteria;

• Identify common materials used in therapeutic footwear and prefabricated foot orthoses;

• Describe the Centers for Medicare and Medicaid Services (CMS) documentation requirements;

• Evaluate the foot in a comprehensive manner;

• Use foot measurement tools to select appropriate footwear for the diabetic foot—defined in the A5500 CMS Code; and

• Use the appropriate tools and materials to select, direct mold, and fit foot orthoses—defined in the A5512 CMS Code.

1. Assessment of specific prescription

   1. Physical assessment

   2. Circulation

   3. Skin integrity

   4. Protective sensation

   5. Pain

   6. Therapeutic shoe requirements

   7. Environmental barriers including social, home, and work reintegration

2. Formulation of a treatment plan

   1. Analysis of shoe construction needs and design requirements

   2. Consultation with and/or referral to other health care professionals

3. Implementation of treatment plan

   1. Measuring patient for shoes

   2. Material selection

   3. Shoe fit evaluation

   4. Minor adjustments to accommodate individual anatomic contours

   5. Patient education and instruction

4. Utilization of a follow-up treatment plan

   1. Documentation of functional changes

   2. Minor adjustments to the fit of the shoe to ensure successful outcomes

   3. Confirmation of patient education and instruction

5. Compliance with practice management plans

   1. Adherence to applicable local, state and federal laws and regulations

   2. Following patient care guidelines and procedures

   3. Maintaining a safe and professional environment for patient care

   4. Understanding claims development and submission

6. Promotion of competency and enhancement of professional practice

   1. Continuing education

   2. Promotion of public awareness of the profession

   3. Consumer organizations, governmental and non-governmental organizations